Individual
JAMEEKA DIONNDRA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
675 W NORTH AVE, 306, MELROSE PARK, IL 60160-1634
(708) 681-9214
(708) 681-9280
Mailing address
675 W NORTH AVE, 306, MELROSE PARK, IL 60160-1634
(708) 681-9214
(708) 681-9280
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008336
IL
Other
Enumeration date
06/22/2010
Last updated
04/12/2012
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